Breast lift with implants above muscle. Can the scar positioning be moved to the crease as initially anticipated (photos)

Unless you have large implants, you may have enough skin to revise your breasts and place the scars in the breast fold. Otherwise, you will need to wait and let your tissue stretch.

Hi and thank you for your question. Breast revision surgery is very challenging, but ultimately, this should be possible to fix. It may be worth waiting a few months to see how things settle first. Options for rippling would include using a highly cohesive implant and/or placing the implant under the muscle instead. The bottom scar often does tend to rise over time generally speaking, but there are ways to minimize that. Proper implant positioning is key, as well as making sure the bottom of the implant is secured by closing the pocket with the appropriate strength layers of tissue. You may also need to downsize the implant, and use absorbable mesh that creates a scaffold of your tissue to keep it in place. Lots of options, so it's definitely worth a discussion with a plastic surgeon and an in-person visit.
Best of luck,Dr. Brandon Elnekaveh

Dear Persephone_86,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery